ANNEX A - Ntabankulu



Terms of Reference for Registration onto Supply Chain Suppliers Register

1) TERMS OF REFERENCE

1.1) Supply Chain Department Suppliers Registration Policy

The Supply Chain Unit has implemented a Supplier Register to ensure that they have sufficient appropriately qualified suppliers to provide the municipality with goods and services as and when required.

1.2) Supplier(s) Registration onto the Suppliers Register

Suppliers that wish to register onto the Suppliers Register should complete the following:

• This Application Form Application for Registration as a Supplier of General Goods and Services onto the Suppliers Register)

• Annexure 1 - (Commodity Categories)

• Annexure 2 - Suppliers Maintenance and Banking details

• Returnable Documents (Refer to 10.7 of this document)

• Suppliers must complete a separate application form for each branch if the Firm has more than one branch office.

1.2.1) What does it mean to be registered on the Supplier Register?

Suppliers that have been registered onto the Suppliers Register may have the opportunity to bid or quote on the Ntabankulu Local Municipality’s acquisition requirements. Registration onto the Suppliers Register does not guarantee business opportunities as all acquisition will be subject to the Supply Chain Management (SCM) policy of Supply Chain Unit.

1.2.2) Registration Period onto the Suppliers Register

Registration of suppliers onto the Suppliers Register will be valid for a period of 5 years from date of acceptance onto suppliers register. Supply Chain Unit will issue an instruction on the re-application for the registration process. The municipality reserves the right to accept or reject any application.

1.3) Maintenance of the Suppliers Register

The municipality will update suppliers’ information on an ongoing basis. Suppliers that have registered onto the Suppliers Register should ensure that they furnish the municipality with any change to the status of the information initially provided, as and when the information changes. It is the supplier’s responsibility to ensure that the information reflected on the Suppliers Register is correct and up to date at all times. Suppliers must ensure that they furnish the Department with any updates to or change of information pertaining to banking details as and when the change occurs.

1.4) Supplier Performance Monitoring

Suppliers that have registered onto the Suppliers Register will be continuously monitored for their performance on work awarded to them by Supply Chain Unit. This continuous monitoring process will form the basis to evaluate Supplier performance which will have an impact on future work opportunities with the municipality.

1.5) Confidentiality

All information provided by suppliers for registration purposes will remain confidential and will only be of use by Supply Chain Unit unless otherwise required by law.

1.6) Where to obtain Application forms

1.6.1) Availability of Application Forms

Application Forms can be requested from the Supply Chain Unit.

No faxed or e-mailed applications will be accepted. Only original and signed copies of application will be accepted. Suppliers may not alter the Application Form in any way.

1.6.2) Application form submissions

The applications forms for registration onto the Suppliers Register will be processed at Supply Chain Unit. Suppliers should therefore ensure that they submit their Application Forms to the address below:

|Postal and Hand Delivery Address |

|Ntabankulu Local Municipality |

|Erf 85 Main Street |

|Ntabankulu |

|5130 |

1.6.3) Support at Supply Chain Unit

Any queries regarding registration can be directed to:

Helpdesk: 039 – 258 0056

E-mail address: siyasanga@.za

1.7) Criteria for Registration

Suppliers that do not meet the responsive criteria may not qualify to be registered onto the Supplier Register until full registration requirements are met.

The Responsive Criteria for suppliers to be registered onto the Supplier Register is stated below:

Responsive Criteria for Suppliers for General Goods and Services:

▪ Supplier should have a valid Physical Business Address

▪ Supplier should have a valid Postal Address

▪ Supplier should have a valid Telephone/Cellular Number

▪ Supplier should submit a Business Profile together with the Application Form

▪ Supplier should provide the Supply Chain Unit with valid Banking details

o Personal banking details will not be acceptable except in the case where the supplier is a Sole Trader

▪ Supplier should submit an Original valid Tax Clearance Certificate

o Personal Tax Clearance Certificates will not be acceptable except in the case where the supplier is a Sole Trader

2) IMPORTANT GUIDELINES

2.1) General

Ensure that all applicable sections in the Application Form are completed as incomplete Application Forms will not be processed for registration onto the Supplier Register.

Verification of information provided by suppliers may be checked against third party sources such as SARS, CIPRO (etc)

Default Receiver of Contracts: The contact person that will receive notifications from the Supply Chain Unit.

Default Receiver of Bids: The contact person indicated will receive notification of Bids via e-mail or sms (please select the preferred option)

2.2) Important fields to complete

2.2.1) Contact Person

Please indicate one (1) individual that the Supply Chain Unit should contact pertaining to Bids and/or Contracts.

2.2.2) Type of Firm

Please ensure the appropriate documentary proof pertaining to your type of Firm is attached and submitted together with the Application Form.

Please view below for the required documentary proof:

I. Partnership: Certified copy of Partnership Agreement

II. Sole Proprietor: Certified copy of valid South African Identity Document

III. Public Company registered in terms of the SA Companies Act: Certified copy of Certificate of Incorporation of companies (CM1)

IV. Close Corporation registered in terms of the Closed Corporation Act: Certified copy of Founding Statement CK1 or amended Founding Statement (CK2) for CC’s

V. Private Company registered in terms of the SA Companies Act: Certified copy of Certificate of Incorporation of companies (CM1)

VI. Trust: Certified copy of Trust deed or other founding document

VII. Other: Please provide appropriate documentary proof

2.2.3) Shareholder/Owner Information

Please complete all information for every shareholder/Owner listed on the form who has equity ownership in the firm.

Should the space provided in this section not be enough for the required information, please ensure that you make a copy of this section, complete it and submit it together with the Application Form.

2.2.4) Preference Point Information

Preference points must be claimed under Preferential Procurement Policy Framework Act, No 5 of 2000

|HDI |Historically Disadvantaged Individual (HDI) |

| |means a South African citizen - |

| |i)        who, due to the apartheid policy that had been in place, had no franchise in national elections, prior to |

| |the introduction of the Constitution of the Republic of South Africa, 1983 (Act No 110 of 1983) or the Constitution |

| |of the Republic of South Africa, 1993 (Act No 200 of 1993) ('the Interim Constitution"); and/or |

| |ii)        who is a female; and/or |

| |iii)       who has a disability: |

| |Provided that a person who obtained South African citizenship on or after the coming to effect of the Interim |

| |Constitution, is deemed not to be an HDI. |

|Disability |In respect of a person, a permanent impairment of a physical, intellectual, or sensory function which results in |

| |restricted, or lack of, ability to perform an activity in the manner, or within the range, considered normal for a |

| |human being; |

|% Owned |The shareholding percentage owned as declared in the Firm’s registration documents |

|% Voting |The voting percentage of individuals in the Firm |

|Date of Ownership |The Date of Ownership in the Firm |

Ensure that a Medical Certificate is attached and submitted together with the Application Form for all individuals claiming disability.

No preference points will be awarded to public companies and tertiary institutions.

2.2.5) Commodity Categories

Suppliers should not tick (√) items or services which they cannot provide.

2.2.6) Suppliers Maintenance: Banking Information Details

Annexure 3 (Suppliers Maintenance and Banking details). Please ensure that details furnished in this form are correct and that this Form is stamped by the Firm’s bank. This information will be used by the Department should it need to make payments to your Firm.

Ensure that this document (Annexure 3) is submitted together with the Application Form.

Suppliers should ensure that they furnish the Supply Chain Unit with any updates to or change of information pertaining to banking details as and when the change occurs.

2.2.7) Details of person(s) authorized to act on behalf of the Firm

This section requires that suppliers provide details pertaining to the individual that the Firm authorized to submit and sign the application form on their behalf.

Should the Firm authorize more than one individual to submit and sign the Application Form on their behalf, please ensure that you make a copy of this section, complete it and submit it together with the Application Form.

2.2.8) Declaration/Commissioner of Oaths

This section serves as a confirmation that the information provided is true and correct and must be signed accordingly.

2.2.9) Supplier banking details

|BANKING DETAILS: | |

|Name of the Bank: | |

|Branch Code: | |

|Branch Name: | |

|Account Type: | |

|Account Number: | |

NB.Please attach original bank statement, original letter from bank confirming the account details or cancelled cheque

|BANK STAMP |

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FIRM’S BASE DATA: (Compulsory)

|1.1 |Name of firm: | |

|1.2 |Trading as: | |

|1.3 |Holding company name: | |

|1.4 |Firm registration number: | |

| | | |

| | |(Insert CC number, Companies Act number, etc.) |

|1.5 |TYPE OF FIRM (tick applicable box and provide documentary | |

| |proof): |Close corporation registered in terms of the Close Corporation Act, 1984 (Act no 69 of |

| | |1984) |

| | |Public Company [(Pty) Limited] registered in terms of |

| | |the SA Companies Act, 1973 (Act no 61 of 1973) |

| | |including Companies incorporated under Art 21 |

| | |Sole proprietor |

| | |Partnership |

| | |Private Company registered in terms of the SA |

| | |companies Act, 1973 (Act no 61 of 1973) including |

| | |Companies incorporated under Art 53 (b) |

| | |Trust |

| | |Other: (Specify) |

|1.6 |Telephone number: | |

|1.7 |CSD Number: (COMPULSORY) | |

|1.8 |Business physical address: | |

|1.9 |Postal address: | |

| | | |

| | | |

| | |Postcode |

|1.10 | |

| |Indicate the province where the above firm/branch is located: |

| | |

| |Eastern Cape Free State Gauteng KwaZulu-Natal Limpopo |

| |Mpumalanga North West Northern Cape Western Cape |

|1.11 |Date of establishment of firm: | |

|1.12 |VAT registration number: | |

|1.13 |Firm website address: | |

|1.14 | |

| |Tax clearance certificate number: Tax certificate expiry date: |

| | |

| |Tax certificate approved date: |

1. CONTACT PERSON DETAILS: (complete for at least two persons – preferably management) (compulsory)

| |CONTACT PERSON 1 |CONTACT PERSON 2 |

|2.1 |Contact name: | | |

|2.2 |Job title: | | |

|2.3 |Receiver of contracts: |Yes No |Yes No |

|2.4 |Receiver of bids: |Yes No |Yes No |

|2.5 |Telephone number: | | |

|2.6 |Fax number: (COMPULSORY) | | |

|2.7 |Cellular number: | | |

|2.8 |E-mail address: | | |

2. REFERENCES (List 5 contracts/projects, in which your firm has been engaged for the last 2 years. Not applicable to new suppliers)

|Contract description |Location |Client |Client telephone number |Contract amount |Completed / Expected|

| | | | | |completion date |

| | | | | | |

| | | | | | |

| | | | | | |

| | | | | | |

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3. PROVINCES WHERE GOODS/SERVICE CAN BE PROVIDED: (compulsory – refer to page 6 for provinces)

4. COMMODITY CATEGORIES: (compulsory – refer to page 12. If not available on list, include separate sheet with your commodities. Maximum should be 5)

5. Details of Person(s) authoriSed to act on behalf on the Firm (mandatory)

RESOLUTION OF OWNERS/DIRECTORS/MEMBERS/PARTNERS

RESOLUTION of a meeting of the Board of *Directors/Members/Partners/Owners of:

___________________________________________________________________________

___________________________________________________________________________

(Legally correct full name and registration number of the enterprise, if applicable)

Held at ______________________________________________ (Place)

On _________________________________________________ (Date)

RESOLVED that:

1. The firm submits an application to Ntabankulu Local Municipality for registration on the Supply Chain Supplier Register.

2. *Mr/Mrs/Ms: ____________________________________________________________________

in *his/her capacity as: __________________________________________ (position in the enterprise)

and who will sign as follows: ___________________________________________________________

be, and is hereby, authorised to sign any documents and/or correspondence in connection with and relating to the Application Form as well as to sign any contract, and any and all documentation on behalf of the firm.

| |Name |Capacity |Signature |

|1 | | | |

|2 | | | |

|3 | | | |

|4 | | | |

|5 | | | |

|6 | | | |

|Note: | |ENTERPRISE STAMP (where available) |

|1. * Delete which is not applicable | | |

| | | |

|2. NB. This resolution must be signed by all the | | |

|directors/members/partners and owners of the bidding | | |

|enterprise | | |

| | | |

|3. Should the number of directors/ members/partners and owners| | |

|exceed the space available above, additional names and | | |

|signatures must be supplied on a separate page | | |

6. DECLARATION OF INTREST:

No bid will be accepted from persons in the service of the state¹.

2. Any person, having a kinship with persons in the service of the state, including a blood relationship, may make an offer or offers in terms of this invitation to bid. In view of possible allegations of favouritism, should the resulting bid, or part thereof, be awarded to persons connected with or related to persons in service of the state, it is required that the bidder or their authorised representative declare their position in relation to the evaluating/adjudicating authority.

3. In order to give effect to the above, the following questionnaire must be completed and submitted with the bid.

3.8 Are you presently in the service of the state? YES / NO

3.8.1 If yes, furnish particulars. ….……………………………………………………………………………..

¹MSCM Regulations: “in the service of the state” means to be –

a) a member of –

i) any municipal council;

ii) any provincial legislature; or

iii) the national Assembly or the national Council of provinces;

b) a member of the board of directors of any municipal entity;

c) an official of any municipality or municipal entity;

d) an employee of any national or provincial department, national or provincial public entity or constitutional institution within the meaning of the Public Finance Management Act, 1999 (Act No.1 of 1999);

e) a member of the accounting authority of any national or provincial public entity; or

f) an employee of Parliament or a provincial legislature.

² Shareholder” means a person who owns shares in the company and is actively involved in the management of the company or business and exercises control over the company.

3.9 Have you been in the service of the state for the past twelve months? ………YES / NO

3.9.1 If yes, furnish particulars.………………………...……………………………………..

3.10 Do you have any relationship (family, friend, other) with persons

in the service of the state and who may be involved with

the evaluation and or adjudication of this bid? ………………………………… YES / NO

3.10.1 If yes, furnish particulars.

………………………………………………………………………………

3.11 Are you, aware of any relationship (family, friend, other) between

any other bidder and any persons in the service of the state who

may be involved with the evaluation and or adjudication of this bid? YES / NO

3.11.1 If yes, furnish particulars

……………………………………………………………………………...............……

3.12 Are any of the company’s directors, trustees, managers,

principle shareholders or stakeholders in service of the state? YES / NO

3.12.1 If yes, furnish particulars.

……………………………………………………………………………….

3.13 Are any spouse, child or parent of the company’s directors

trustees, managers, principle shareholders or stakeholders

in service of the state? YES / NO

3.13.1 If yes, furnish particulars.

……………………………………………………………………………….

3.14 Do you or any of the directors, trustees, managers, principle shareholders, or stakeholders of this company have any interest in any other related companies or business whether or not they are bidding for this contract. YES / NO

3.14.1 If yes, furnish particulars:

……………………………………………………………………………..

4. Full details of directors / trustees / members / shareholders.

|Full Name |Identity Number |State Employee Number |

| | | |

| | | |

| | | |

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CERTIFICATION

I, (NAME) ______________________________________________________________THE UNDERSIGNED CERTIFY THAT THE INFORMATION FURNISHED IN PARAGRAPHS 2 and 3 ABOVE IS CORRECT. I ACCEPT THAT THE STATE MAY REJECT THE BID OR ACT AGAINST ME SHOULD THIS DECLARATION PROVE TO BE FALSE.

____________________ _________________________

Signature Date

___________________ ________________________________

Position Name of bidder

7. DOCUMENTS TO BE SUBMITTED (certified copies are acceptable) (compulsory)

|General: |Yes |No |N/A |

|7.1 |Documentary proof of firm’s registration | | | |

|7.2 |VAT Registration Certificate | | | |

|7.3 |Tax Clearance Certificate (original and valid) | | | |

|7.4 |Medical Certificate (for disability status) | | | |

|7.5 |Accreditation Certificate (where applicable) | | | |

|7.6 |Business profile | | | |

|7.7 |Commodity categories (Annexure 2) | | | |

|7.8 |Supplier maintenance: Banking information details (Annexure 3) | | | |

|7.9 |Wireman's licences | | | |

|7.10 |Shuttle services: Public driver's permit | | | |

|7.11 |Certified BBB-EE Certificate | | | |

|7.12 |Certified ID Copy | | | |

|7.13 |Proof of registration with CSD | | | |

|7.14 |Fax numbers | |

8. SUPPLIER ACCREDITATION CRITERIA FORM (SACF)

Part 4: PLEASE SELECT YOUR CORE BUSINESS OF OPERATION (MANDATORY FIELD)* *

(Mark with X in applicable fields)

|Electrical services - Ref 5.1 | |Architects - Ref 5.7.1 | |Mechanical Engineers - Ref 5.7.7 | |

|Building and plumbing services - Ref 5.2 | |Quantity surveyors - Ref 5.7.2 | |Project managers - Ref 5.7.8 | |

|Goods supplies - Ref 5.3 | |Structural/Civil engineers - Ref 5.7.3 | |Home builders - Ref 5.7.9 | |

|Security services - Ref 5.4 | |Land surveyors - Ref 5.7.4 | |Accommodation - Ref 5.8 | |

|Cleaning services - Ref 5.5 | |South African Town and Regional Planners - | |Catering - Ref 5.9 | |

| | |Ref 5.7.5 | | | |

|Legal services - Ref 5.6 | |Electrical engineers - Ref 5.7.6 | | | |

Part 5: THE FOLLOWING MANDATORY DOCUMENTATION MUST BE SUBMITTED FOR THE ABOVE CORE BUSINESS OF OPERATION FAILURE TO WHICH THE APPLICATION WILL NOT BE PROCESSED:

|5.1 ELECTRICAL SERVICES |Y/N |

|1 |Electrical Contract Association (ECA) certification number and attach copy. Optional | |

|2 |Electrical Contract Bodies (ECB) certification number and attach copy. Mandatory | |

|3 |Construction Industry Development Board (CIDB) certification number and attach copy. Mandatory | |

|5.2 BUILDING AND PLUMBING SERVICES | |

|1 |Construction Industry Development Board (CIDB) certification number and attach copy. Mandatory | |

|5.3 GOODS SUPPLIES | |

|1 |N/A | |

|5.4 SECURITY SERVICES | |

|1 |Security Officers Board (SOB) certification and attach copy. Mandatory | |

|2 |PSIRA Certificate and attach copy. Mandatory | |

|5.5 CLEANING SERVICES | |

|1 |National Contract Cleaning Association certification and attach copy. Mandatory | |

|5.6 LEGAL SERVICES | |

|1 |Member of any provincial law society in South Africa – registration number and attach copy. Must be | |

| |admitted and in good standing with the society. MANDATORY | |

|5.7 PROFESSIONAL SERVICES | |

|5.7.1 ARCHITECTS | |

|1 |Registration with the South African Institute of Architects (SAIA) | |

|2 |Registration with the regulating body, the SAC for architect profession (SACAP) | |

|5.7.2 QUANTITY SURVEYORS | |

|1 |Registration with the South African of Council Quantity Surveyors | |

|2 |Registration as a member of South African Quantity Surveyors' Association (Act QS of 1970) | |

|5.7.3 STRUCTURAL ENGINEERS/CIVIL ENGINEERS | |

|1 |South African Association of Consulting Engineers (SAACE) | |

|5.7.4 LAND SURVEYORS | |

|1 |Registration with the South African Council for Professional and Technical Surveyor | |

|5.7.5 SOUTH AFRICAN TOWN AND REGIONAL PLANNERS | |

|1 |South African Council of Town and Regional Planners | |

|5.7.6 ELECTRICAL ENGINEERS | |

|1 |Registration with the South African Engineering Council (SAEC) | |

| | | |

|5.7.7 MECHANICAL ENGINEERS | |

|1 |Registration with the South African Engineering Council (SAEC) | |

|5.7.8 PROJECT MANAGERS | |

|1 |Registration with South African Council for Project and Construction Profession (SACPCMP) in terms of the | |

| |Project and Construction Management Act 2000 (Act No. 48 of 2000) | |

|5.7.9 HOME BUILDERS | |

|1 |Registration with NHBRC in terms of the Housing Consumer Protection Act, 1998, (Act No. 95 of 1998) | |

|2 |Construction Industry Development Board (CIDB) certification number and attach copy. Mandatory | |

|5.8 ACCOMMODATION | |

|1 |South African Tourism Grading Council | |

|2 |Registration with the Local Municipality for certification of acceptability of premises for food | |

|5.9 CATERING | |

|1 |Registration with the Local Municipality for certification of acceptability of premises for food | |

9. Duly authorised to sign on behalf of: ______________________________________________________ (Name of firm)

The undersigned who warrants that he/she is duly authorised to do so on behalf of the firm, confirms that the contents of the application are within my personal knowledge and are to the best of my belief both true and correct.

| | | | |

| | | | |

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|Signature |Full name |Capacity |Date |

MISSIONER OF OATHS:

Signed and sworn to before me at _____________________________________________ (Place)

on this the ______________________ day of _____________________ by the deponent, who has acknowledged that he/she knows and understands the contents of this Affidavit, that it is true and correct to the best of his/her knowledge and that he/she has no objection to taking the prescribed oath, and that the prescribed oath will be binding on his/her conscience.

Commissioner of Oaths ______________________ Name: _____________________________

Signature ___________________________

Stamp

Note: All pages of this Affidavit must be initiated by both the deponent and the Commissioner of Oaths.

Supply Chain Department

Maximum of Five Commodities to be selected

|  |CODE |DESCRIPTION |  |CODE |DESCRIPTION |

|  |0007 |Accommodation |  |0128 |Meters - Water |

|  |0001 |Accounting & Bookkeeping |  |0103 |Minor Roads - Urban |

|  |0008 |Accounting Services |  |0063 |Minor Structures |

|  |0002 |Accounting Systems Software |  |0011 |Mobile Phones |

|  |0077 |Acoustics & Sound proofing |  |0141 |Oil |

|  |0004 |Advertising |  |0029 |Cleaning materials |

|  |0005 |Agricultural Services & Equip |  |0139 |Other: please provide details |

|  |0006 |Air Conditioner Repairs |  |0129 |Other: please provide details |

|  |0209 |Alterations, restorations & red |  |0102 |Other: please provide details |

|  |0003 |Architects |  |0104 |Other: please provide details |

|  |0013 |Architectural Maintenance |  |0105 |Overhead high voltage transmission |

|  |0015 |Auditing Services |  |0118 |Paint Suppliers |

|  |0020 |Auto electrical |  |0123 |Panel Beating |

|  |0031 |Bagged Cement |  |0078 |Parts |

|  |0210 |Basic quantity surveying service |  |0189 |Pavement Design - Road maintenance |

|  |0017 |Batteries |  |0188 |Pavement Design - Roads |

|  |0202 |Boots |  |0062 |Photocopiers |

|  |0132 |Bridges |  |0010 |Planning Policy & Legal |

|  |0088 |Building evacuation systems |  |0041 |Plumbing Contractors |

|  |0085 |Building reticulation |  |0022 |Plumbing Supplies |

|  |0208 |Building Works |  |0024 |Power installations |

|  |0125 |Cables & Overhead Conductors |  |0038 |Precast Concrete kerbs, paving |

|  |0167 |Carpets |  |0163 |Precast reinforced Concrete ma |

|  |0072 |Catchment Management |  |0175 |Pre-stressed Concrete Structures |

|  |0030 |Catering Services |  |0193 |Printers |

|  |0067 |Catodic Protection |  |0098 |Property Development Economics |

|  |0035 |Chlorine |  |0194 |Provision of legal services |

|  |0211 |Civil engineering works |  |0019 |Public Address Systems |

|  |0028 |Clay Products |  |0018 |Public Housing & In-site Upgrades |

|  |0094 |Closed circuit TV and Radio In |  |0070 |Public Relations & Graphics |

|  |0200 |Clothing |  |0069 |Recreational & Sporting Facility |

|  |0050 |Community Facilitation & Parti |  |0191 |Refuse containers, skips and b |

|  |0143 |Community Facilitation & Parti |  |0059 |Reinforced Concrete Structures |

|  |0074 |Compressed Air, Gas and Vacuum |  |0195 |Related IT |

|  |0037 |Compressed oxygen |  |0196 |Repair and supply of Tyres |

|  |0180 |Computers, Laptops, Printers |  |0086 |Repairs of communication device |

|  |0046 |Concrete Pipes |  |0045 |Road Maintenance/Rehabilitations |

|  |0047 |Courier Services |  |0044 |Road Signs |

|  |0075 |Cranes & Hoists |  |0134 |Sectional Title |

|  |0166 |Curtains/Blinds |  |0197 |Security installations |

|  |0112 |Decorative & Festive Lighting |  |0052 |Social Economic Planning & Res |

|  |0153 |Demography |  |0187 |Software and software development |

|  |0107 |Engineering survey |  |0092 |Software developers |

|  |0108 |Engineering - Traffic |  |0061 |Software suppliers |

|  |0109 |Environmental Law |  |0154 |Spatial Analysis |

|  |0158 |Environment Auditing |  |0068 |Specialised air conditioning |

|  |0053 |Environment Management Systems |  |0199 |Specialised refrigeration |

|  |0091 |Medium & High Voltage Switchgear |  |0133 |Stadia & High Mast Floodlights |

|  |0185 |Medium & Low Voltage Reticulat |  |0149 |Stadia & High Mast Floodlights |

|  |0142 |Medium & Low Voltage Reticulat |  |0016 |Standby Generator installation |

|  |0162 |Medium & Low Voltage Reticulat |  |0043 |Stationery suppliers |

|  |0160 |Medium & Low Voltage Technical |  |0064 |Storm water Maintenance System |

|  |0156 |Medium Voltage Circuit Breaker |  |0204 |Strategic Planning |

|  |0157 |Metallurgical/Corrosion Engineering |  |0186 |Street Lighting Maintenance & |

|  |0159 |Meters - Electric |  |0090 |Street Name signs |

|  |0161 |Environmental Policy |  |0051 |Streetlight Poles |

|  |0039 |Fax machines |  |0169 |Streetlights Fittings/Floodlight |

|  |0009 |Fertiliser |  |0182 |Structural Steel Structures |

|  |0087 |Fire Detection and alarm system |  |0181 |Subsurface Structures including |

|  |0079 |Fire Protection Engineering |  |0056 |Supply of Bitumen & Emulsions |

|  |0071 |Flood Hydraulic studies |  |0076 |Supply of hot bituminous asphalt |

|  |0084 |Floodlighting installation |  |0082 |Supply of materials |

|  |0097 |Flow Gauges |  |0110 |Supply of new vehicles |

|  |0174 |Foundations - major structures |  |0111 |Supply of plants |

|  |0173 |Foundations - minor structures |  |0095 |Supply of Refuse Bags |

|  |0023 |Fuel |  |0206 |System analysis and design |

|  |0073 |General Air Conditioning & Mec |  |0066 |Tables, Chairs, cabinets etc |

|  |0122 |General Electrical Spares/Prod |  |0048 |Telemetry systems |

|  |0176 |General hardware & supplies |  |0114 |Telephone & Communication install |

|  |0083 |General lighting and earthing |  |0205 |Telephone systems |

|  |0021 |General mechanical work |  |0120 |Timber Structures |

|  |0172 |Geological studies and investi |  |0121 |Traffic Management |

|  |0201 |Hard Hats |  |0140 |Traffic Operations |

|  |0034 |Herbicides |  |0136 |Traffic Signs |

|  |0216 |Heritage/Historical design |  |0026 |Traffic Survey / Data Collection |

|  |0115 |High & Medium Voltage Network |  |0027 |Transport Economics |

|  |0124 |High Voltage Circuit Breakers |  |0164 |Transport Modelling |

|  |0099 |High Voltage Substation - plan |  |0025 |Transportation Planning |

|  |0117 |High Voltage Technical & Safety |  |0179 |Transportation Policy |

|  |0106 |High, Medium & Low Voltage Net |  |0198 |Urban design |

|  |0126 |High-Mast Lights |  |0170 |Urban Spatial Economics |

|  |0177 |Hire Plant & Equipment |  |0190 |Urban Traffic Control |

|  |0215 |Horticultural design |  |0096 |Valuation service provider |

|  |0100 |HV Cable - Planning, Design & |  |0089 |Vehicle Hire |

|  |0116 |HV Overhead Head Transmission |  |0040 |Water Retaining Structures |

|  |0065 |Hydraulic Engineering (Pipes N | | | |

|  |0213 |Industrial Building works | | | |

|  |0165 |Installation of Fencing | | | |

|  |0183 |Insurance service providers | | | |

|  |0049 |Integrated Development Planning | | | |

|  |0192 |Laminating machine | | | |

|  |0171 |Land Information Systems | | | |

|  |0184 |Land Survey | | | |

|  |0054 |Land Use Management Systems | | | |

|  |0060 |Land Use Transport Planning | | | |

|  |0214 |Landscape Design | | | |

|  |0058 |Layout Planning | | | |

|  |0080 |Lifts | | | |

|  |0168 |Light Fittings | | | |

|  |0093 |Lightning Protection Systems | | | |

|  |0033 |Lime for soil stabilisation | | | |

|  |0036 |Liquefied Gas (LPG) | | | |

|  |0131 |Load Control Equipment | | | |

|  |0014 |Low Cost Housing | | | |

Note: Should a commodity not be listed, please indicate the commodity on the page.

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Name of firm/company/supplier: ______________________________________

Applicant name: ___________________________________________________

Contact person: ___________________________________________________

Tel. no: ___________________________________________________________

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Received on: DD ______ MM ______ YY ______

Received by (print full name)

_____________________________________________________________

Signature: _________________

Date of registration on the database: DD ______ MM ______ YY ______

Supplier database registration code: ________________

Registered by (print full name)

_____________________________________________________________

Signature: ________________

NTABANKULU LOCAL MUNICIPALITY SUPPLY CHAIN UNIT SUPPLIER DATABASE REGISTRATION FORM

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